Hospital

OCHSNER MEDICAL CENTER-KENNER

Kenner, LA · CCN 190274 · Rates published

44,231 distinct procedures filed

41 distinct payers

1,429,577 rate rows

2026-05-08 last MRF observed

Data quality

1,376,904 of 1,429,577 rate rows are consumer-grade (96.3%)

52,673 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	51,362
exceeds 10× this hospital's gross charge — excluded from medians	632
percent-of-charges filed in the dollar field — excluded from medians	310
per-diem day rate — not a per-procedure price	279
template filing: same amount across many unrelated codes — excluded	90

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://ochsner-craft.s3.amazonaws.com/core/205432782_ochsner-medical-center-%E2%80%93-kenner-llc_standardcharges.csv.csv
Found on page	https://www.ochsner.org/patients-visitors/billing-and-financial-services/estimates/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	3d217aec75aa33b3… · 708,160,722 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
583-4 OTHER	Neonate With Ecmo	2	$327,626.80	$327,626.80	$327,626.80	nat. median $309,400 1.1× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$268,742.77	$268,742.77	$268,742.77	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	2	$259,486.85	$259,486.85	$259,486.85	nat. median $259,487 1.0× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	$195,063.44	$195,063.44	$195,063.44	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	2	$191,346.89	$191,346.89	$191,346.89	nat. median $191,347 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$175,271.74	$175,271.74	$175,271.74	nat. median $151,250 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$173,134.48	$173,134.48	$173,134.48	nat. median $165,000 1.0× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$169,531.65	$169,531.65	$169,531.65	nat. median $153,523 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$169,253.71	$169,253.71	$169,253.71	nat. median $156,696 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$168,174.25	$168,174.25	$168,174.25	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	2	$165,358.21	$165,358.21	$165,358.21	nat. median $171,226 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	$161,453.84	$161,453.84	$161,453.84	nat. median $203,379 0.8× median
161-4 OTHER	Implantable Heart Assist Systems	2	$160,593.79	$160,593.79	$160,593.79	nat. median $202,242 0.8× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	$140,888.59	$140,888.59	$140,888.59	nat. median $107,050 1.3× median
SUP-106524US OTHER	Kit Implant Heartmate Iii	29	$45,935.45	$230,065.00	$129,250.00	nat. median $129,250 1.0× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$125,634.78	$125,634.78	$125,634.78	nat. median $125,000 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	2	$123,031.66	$123,031.66	$123,031.66	nat. median $152,491 0.8× median
SUP-106524 OTHER	Kit Implant Heartmate Ii	29	$42,759.06	$214,156.25	$120,312.50	nat. median $120,312 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	2	$113,251.39	$113,251.39	$113,251.39	nat. median $151,691 0.7× median
SUP-106015 OTHER	Heartmate Ii Implant Kit	29	$40,071.35	$200,695.00	$112,750.00	nat. median $112,750 1.0× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$112,711.39	$112,711.39	$112,711.39	nat. median $112,711 1.0× median
588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$111,592.78	$111,592.78	$111,592.78	nat. median $75,325 1.5× median
011-4 OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	2	$105,647.44	$105,647.44	$105,647.44	nat. median $105,647 1.0× median
SUP-107801 OTHER	Heartmate Ii & Pocket Control	29	$36,161.95	$181,115.00	$101,750.00	nat. median $101,750 1.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$100,636.02	$100,636.02	$100,636.02	nat. median $110,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$99,157.23	$99,157.23	$99,157.23	nat. median $99,157 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$99,066.83	$99,066.83	$99,066.83	nat. median $99,067 1.0× median
161-2 OTHER	Implantable Heart Assist Systems	2	$98,783.50	$98,783.50	$98,783.50	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	2	$98,525.65	$98,525.65	$98,525.65	nat. median $150,954 0.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	$96,498.59	$96,498.59	$96,498.59	nat. median $100,015 1.0× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	$94,250.41	$94,250.41	$94,250.41	nat. median $95,000 1.0× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With McC	30	$63,359.01	$170,855.70	$94,001.73	nat. median $65,342 1.4× median
161-1 OTHER	Implantable Heart Assist Systems	2	$93,844.33	$93,844.33	$93,844.33	nat. median $101,352 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	$51,357.38	$155,697.58	$89,419.08	nat. median $76,493 1.2× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$89,333.98	$89,333.98	$89,333.98	nat. median $89,334 1.0× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$83,784.94	$83,784.94	$83,784.94	nat. median $83,785 1.0× median
602-2 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$75,590.50	$75,590.50	$75,590.50	nat. median $80,000 0.9× median
607-3 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	$75,071.12	$75,071.12	$75,071.12	nat. median $77,124 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And McC	30	$43,742.51	$163,460.02	$74,635.77	nat. median $29,655 outlier · 2.5×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	30	$49,799.04	$151,399.82	$73,883.66	nat. median $54,603 1.4× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	$73,331.41	$73,331.41	$73,331.41	nat. median $93,000 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	$49,392.20	$130,920.43	$73,280.06	nat. median $66,849 1.1× median
740-4 OTHER	Mental Illness Diagnosis With O.r. Procedure	2	$72,663.26	$72,663.26	$72,663.26	nat. median $47,516 1.5× median
863-4 OTHER	Neonatal Aftercare	2	$71,891.87	$71,891.87	$71,891.87	nat. median $108,047 0.7× median
SUP-TJF-Q190V OTHER	Scope Duodenoscope 100deg	35	$25,138.07	$141,463.55	$70,731.77	nat. median $70,732 1.0× median
612-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	$70,123.64	$70,123.64	$70,123.64	nat. median $76,321 0.9× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$68,867.98	$68,867.98	$68,867.98	nat. median $91,000 0.8× median
613-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	$68,799.13	$68,799.13	$68,799.13	nat. median $68,200 1.0× median
603-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	$68,560.56	$68,560.56	$68,560.56	nat. median $68,561 1.0× median
759-4 OTHER	Eating Disorders	2	$67,993.61	$67,993.61	$67,993.61	nat. median $30,804 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 44,231 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

SUP-106524US	OTHER	Kit Implant Heartmate Iii	31	29	$258,500.00	$69,795.00 73% off	$45,935.45	$230,065.00	$129,250.00	2026-05-08
SUP-106524	OTHER	Kit Implant Heartmate Ii	31	29	$240,625.00	$64,968.75 73% off	$42,759.06	$214,156.25	$120,312.50	2026-05-08
799	OTHER	Splenic Procedures With McC	30	30	$230,129.74	$62,135.03 73% off	$35,425.39	$195,610.28	$52,558.40	2026-05-08
SUP-106015	OTHER	Heartmate Ii Implant Kit	31	29	$225,500.00	$60,885.00 73% off	$40,071.35	$200,695.00	$112,750.00	2026-05-08
RX-151149	OTHER	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln	42	41	$208,874.80	$56,396.20 73% off	$162.62	$185,898.57	$37,117.05	2026-05-08
SUP-107801	OTHER	Heartmate Ii & Pocket Control	31	29	$203,500.00	$54,945.00 73% off	$36,161.95	$181,115.00	$101,750.00	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With McC	30	30	$201,006.70	$54,271.81 73% off	$63,359.01	$170,855.70	$94,001.73	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And McC	30	30	$192,305.90	$51,922.59 73% off	$43,742.51	$163,460.02	$74,635.77	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	$183,173.62	$49,456.88 73% off	$51,357.38	$155,697.58	$89,419.08	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	30	30	$178,117.44	$48,091.71 73% off	$49,799.04	$151,399.82	$73,883.66	2026-05-08
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	30	30	$161,077.66	$43,490.97 73% off	$31,426.14	$136,916.01	$47,315.92	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	30	$154,024.03	$41,586.49 73% off	$49,392.20	$130,920.43	$73,280.06	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without McC	30	30	$149,144.00	$40,268.88 73% off	$34,194.16	$126,772.40	$50,731.70	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	30	30	$143,419.25	$38,723.20 73% off	$24,927.05	$121,906.36	$36,982.67	2026-05-08
SUP-TJF-Q190V	OTHER	Scope Duodenoscope 100deg	35	35	$141,463.55	$38,195.16 73% off	$25,138.07	$141,463.55	$70,731.77	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With McC	30	30	$130,105.52	$35,128.49 73% off	$39,362.18	$110,589.69	$58,399.16	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	30	30	$129,190.06	$34,881.32 73% off	$43,731.55	$109,811.55	$64,881.71	2026-05-08
48000195	OTHER	Hc Insertion, Phrenic Nrv Stim Sys, Pulse Gen & Stim Leads	41	41	$123,752.00	$33,413.04 73% off	$1,490.00	$206,478.66	$45,000.50	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With McC	30	30	$122,729.84	$33,137.06 73% off	$24,088.35	$104,320.36	$35,738.35	2026-05-08
SUP-CS1000	OTHER	Tissue Carticel	30	29	$121,146.30	$32,709.50 73% off	$21,527.70	$107,820.21	$60,664.68	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	$115,380.28	$31,152.68 73% off	$43,438.40	$101,882.78	$64,446.78	2026-05-08
SUP-1000100	OTHER	Cath Impella Smartassist 5.5	37	35	$112,750.00	$30,442.50 73% off	$20,035.67	$112,750.00	$56,375.00	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With McC	30	30	$112,144.57	$30,279.03 73% off	$29,601.00	$95,322.88	$45,867.06	2026-05-08
500	OTHER	Soft Tissue Procedures With McC	30	30	$111,125.28	$30,003.83 73% off	$23,170.19	$94,456.49	$34,399.62	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With McC	30	30	$110,368.21	$29,799.42 73% off	$27,531.08	$93,812.98	$40,846.10	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With McC	30	30	$109,652.27	$29,606.11 73% off	$30,592.71	$93,204.43	$45,388.45	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	$104,736.06	$28,278.74 73% off	$32,396.65	$89,025.65	$48,064.85	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With McC	30	30	$100,772.73	$27,208.64 73% off	$29,013.27	$85,656.82	$44,185.10	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	30	30	$99,754.24	$26,933.64 73% off	$28,297.56	$84,791.10	$43,090.71	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…	30	30	$98,499.70	$26,594.92 73% off	$26,110.37	$83,724.74	$38,738.29	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/McC	30	30	$98,281.09	$26,535.89 73% off	$32,930.04	$83,538.93	$48,856.20	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With McC	30	30	$97,320.68	$26,276.58 73% off	$26,440.70	$82,722.58	$39,228.38	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC	30	30	$95,088.42	$25,673.87 73% off	$34,368.62	$80,825.16	$50,990.53	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	30	30	$91,763.13	$24,776.05 73% off	$22,549.67	$77,998.66	$33,455.51	2026-05-08
471	OTHER	Cervical Spinal Fusion With McC	30	30	$90,949.63	$24,556.40 73% off	$35,013.31	$82,491.63	$52,180.75	2026-05-08
SUP-HARMONY-25	OTHER	Valve Pulmonary Harmony 25mm	31	29	$90,750.00	$24,502.50 73% off	$16,126.27	$80,767.50	$45,375.00	2026-05-08
SUP-HARMONY-22	OTHER	Valve Pulmonary Harmony 22mm	31	29	$90,750.00	$24,502.50 73% off	$16,126.27	$80,767.50	$45,375.00	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With McC	30	30	$89,881.65	$24,268.05 73% off	$3,795.27	$84,804.21	$53,643.60	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	30	30	$89,525.53	$24,171.89 73% off	$4,359.99	$76,096.70	$36,663.37	2026-05-08
SUP-9600CT23A	OTHER	Valve Sapien 23 Ta Certitude	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CT26A	OTHER	Valve Sapien 26 Ta Certitude	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3USTA126A	OTHER	Valve Sapien3 Ult Certitude 26	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-BOM23EDGELGLIS	OTHER	Sys Lotus Edge Vlv Intro 23mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CM23A	OTHER	Kit Sapien 23mm Delivery	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3USTA129A	OTHER	Valve Sapien 3 Certitude 29mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3UCM226A	OTHER	Valve Sapien 3 Ult Commnd 26mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-BOM25EDGELGLIS	OTHER	Sys Lotus Edge Vlv Intro 25mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CM29A	OTHER	Valve Sapien S3 Comm Kit Tf 29	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CT20A	OTHER	Valve Sapien 20 Ta Certitude	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CT29A	OTHER	Valve Sapien 29 Ta Certitude	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CM26A	OTHER	Kit Sapien 26mm Delivery	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3USTA123A	OTHER	Valve Sapien3 Ult Certitude 23	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3UCM220A	OTHER	Valve Sapien 3 Ult Commnd 20mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-9600CM20A	OTHER	Kit Sapien 20mm Delivery Sys	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-S3UCM223A	OTHER	Valve Sapien 3 Ult Commnd 23mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
SUP-B0M27EDGELGLIS	OTHER	Sys Lotus Edge Vlv Intro 27mm	37	35	$89,375.00	$24,131.25 73% off	$15,881.94	$89,375.00	$44,687.50	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With McC	30	30	$88,964.71	$24,020.47 73% off	$22,983.07	$75,620.00	$35,454.06	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC	30	30	$87,519.93	$23,630.38 73% off	$22,604.73	$74,391.94	$33,537.19	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC	30	30	$86,530.02	$23,363.11 73% off	$28,703.68	$73,550.52	$42,585.82	2026-05-08
SUP-10-0012-5002	OTHER	Generator Sentiva	23	21	$83,876.00	$22,646.52 73% off	$14,904.77	$74,649.64	$46,131.80	2026-05-08
SUP-104	OTHER	Generator Demipulse	23	21	$83,876.00	$22,646.52 73% off	$14,904.77	$74,649.64	$46,131.80	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With McC	30	30	$83,343.16	$22,502.65 73% off	$42,798.52	$111,223.67	$66,243.41	2026-05-08
163	OTHER	Major Chest Procedures With McC	30	30	$83,210.25	$22,466.77 73% off	$31,374.11	$79,047.07	$49,964.01	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	30	30	$82,876.20	$22,376.57 73% off	$33,893.86	$79,496.51	$50,005.94	2026-05-08
SUP-EVPROPLUS-23US	OTHER	Valve Evolut Pro+ Tavr 23mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTPRO-29-US	OTHER	Valve Aortic Evolut Pro 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-MCS-P3-31-AOA-US	OTHER	Valve Corevalve Tav 31mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTR-34-US	OTHER	Valve Corevalve Tav 34mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-MCG40100	OTHER	Sys Mitraclip G4 Guide	31	29	$82,500.00	$22,275.00 73% off	$14,660.25	$73,425.00	$41,250.00	2026-05-08
SUP-9300TFX26CLUS	OTHER	Valve Sapien Xt 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9600TFX29	OTHER	Valve Sapien 3 Transcath 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVPROPLUS-26US	OTHER	Valve Evolut Pro+ Tavr 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTFX-26	OTHER	Valve Evolut Tm Fx Aortic 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9600TFX26	OTHER	Valve Sapien 3 26mm Thv	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTFX-29	OTHER	Valve Evolut Tm Fx Aortic 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9000TFX23	OTHER	Valve Sapien 23mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTFX-34	OTHER	Valve Evolut Tm Fx Aortic 34mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9000TFX26	OTHER	Valve Sapien 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTPRO-23-US	OTHER	Valve Aortic Evolut Pro 23mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTR-29-US	OTHER	Valve Corevalve Tav 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTPRO-26-US	OTHER	Valve Aortic Evolut Pro 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVPROPLUS-29US	OTHER	Valve Evolut Pro+ Tavr 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTR-23-US	OTHER	Valve Corevalve Tav 23mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9300TFX29	OTHER	Valve Sapien 29mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9300TFX23CLUS	OTHER	Valve Sapien 3 Thv 23mm Part	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTFX-23	OTHER	Valve Evolut Tm Fx Aortic 23mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-9600TFX20A	OTHER	Valve Sapien 3 20mm Thv	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVPROPLUS-34US	OTHER	Valve Evolut Pro+ Tavr 34mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
SUP-EVOLUTR-26-US	OTHER	Valve Corevalve Tav 26mm	37	35	$82,500.00	$22,275.00 73% off	$14,660.25	$82,500.00	$41,250.00	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without McC	30	30	$82,264.46	$22,211.40 73% off	$26,153.99	$69,924.79	$38,803.00	2026-05-08
SUP-MBR0303	OTHER	Sys Mitraclip 1cath 3clp 1n/2x	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0203	OTHER	Sys Mitraclip Guide Cath 3clip	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0202	OTHER	Sys Mitraclip Guide Cath 2clip	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0301	OTHER	Sys Mitraclip 1cath 2clip N/x	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0302	OTHER	Sys Mitraclip 1cath 3clp 2n/1x	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0201	OTHER	Sys Mitraclip Guide Cath 1clip	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0102	OTHER	Sys Mitraclip 1 Cath 2 Clip N	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0103	OTHER	Sys Mitraclip 1 Cath 3 Clip N	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
SUP-MBR0101	OTHER	Sys Mitraclip 1 Cath 1 Clip N	31	29	$81,126.00	$21,904.02 73% off	$14,416.09	$72,202.14	$40,563.00	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With McC	30	30	$80,869.38	$21,834.73 73% off	$26,594.43	$68,738.97	$39,456.46	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With McC	30	30	$79,701.92	$21,519.52 73% off	$35,745.00	$83,838.26	$51,482.79	2026-05-08
SUP-123921	OTHER	Generator Aspire Vns	23	21	$78,376.00	$21,161.52 73% off	$13,927.42	$69,754.64	$43,106.80	2026-05-08
SUP-106101	OTHER	Kit Heartmate Ii Pat Support	31	29	$77,511.50	$20,928.10 73% off	$13,773.79	$68,985.24	$38,755.75	2026-05-08
PX-27800011	OTHER	Hc Abiomed Impella Catheter	37	35	$77,000.00	$20,790.00 73% off	$13,682.90	$77,000.00	$38,500.00	2026-05-08
36100152	OTHER	Hc Icd Insert Sngl/dual W/leads	41	41	$76,700.00	$20,709.00 73% off	$3,306.00	$81,514.00	$42,185.00	2026-05-08
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With McC	30	30	$75,427.09	$20,365.31 73% off	$21,408.53	$64,113.03	$31,762.47	2026-05-08
SUP-N119	OTHER	Icd Crt Df-1 Is-1 Cognis He	31	29	$74,910.00	$20,225.70 73% off	$13,311.51	$66,669.90	$37,455.00	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With McC	30	30	$73,825.10	$19,932.78 73% off	$23,552.10	$62,751.33	$34,942.75	2026-05-08
SUP-NVTR-29	OTHER	Valve Navitor Trans Aort 29mm	37	35	$72,876.00	$19,676.52 73% off	$12,950.07	$72,876.00	$36,438.00	2026-05-08
SUP-NVTR-27	OTHER	Valve Navitor Trans Aort 27mm	37	35	$72,876.00	$19,676.52 73% off	$12,950.07	$72,876.00	$36,438.00	2026-05-08
SUP-NVTR-25	OTHER	Valve Navitor Trans Aort 25mm	37	35	$72,876.00	$19,676.52 73% off	$12,950.07	$72,876.00	$36,438.00	2026-05-08
SUP-NVTR-23	OTHER	Valve Navitor Trans Aort 23mm	37	35	$72,876.00	$19,676.52 73% off	$12,950.07	$72,876.00	$36,438.00	2026-05-08
SUP-8B11-A	OTHER	Sys Emblem Icd-s	31	29	$72,875.00	$19,676.25 73% off	$12,949.89	$64,858.75	$36,437.50	2026-05-08
SUP-8B11	OTHER	Sys Pulse Gen S-icd Emblem	31	29	$72,875.00	$19,676.25 73% off	$12,949.89	$64,858.75	$36,437.50	2026-05-08
SUP-Z60353	OTHER	Implant Freedom/contour Adv	33	31	$72,462.50	$19,564.88 73% off	$12,876.59	$64,491.63	$36,231.25	2026-05-08
PX-27800057	OTHER	Hc Icd, Implant Dr	34	29	$71,353.00	$19,265.31 73% off	$12,679.43	$65,039.25	$35,676.50	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With McC	30	30	$71,121.30	$19,202.75 73% off	$27,962.94	$69,468.61	$41,486.83	2026-05-08
RX-153596	OTHER	Brentuximab Vedotin 50 Mg IV Solr	78	41	$70,481.00	$19,029.87 73% off	$213.65	$70,452.00	$35,226.00	2026-05-08
SUP-DTBA1D1-SYS	OTHER	System Icd Crt Viva Xt	31	29	$70,400.00	$19,008.00 73% off	$12,510.08	$62,656.00	$35,200.00	2026-05-08
SUP-DTBA1QQ-SYS	OTHER	System Icd Viva Xt Crt-d	31	29	$70,400.00	$19,008.00 73% off	$12,510.08	$62,656.00	$35,200.00	2026-05-08
SUP-PB1016	OTHER	Transcatheter Melody 16-20mm	35	35	$70,125.00	$18,933.75 73% off	$12,461.21	$70,125.00	$35,062.50	2026-05-08
SUP-PB1018	OTHER	Transcatheter Melody 18-22mm	35	35	$70,125.00	$18,933.75 73% off	$12,461.21	$70,125.00	$35,062.50	2026-05-08
PX-27800071	OTHER	Hc Icd,Fortify Dr,df-1,sj4	31	29	$69,825.00	$18,852.75 73% off	$12,407.90	$62,144.25	$34,912.50	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With McC	30	30	$69,349.46	$18,724.35 73% off	$21,084.64	$58,947.04	$32,670.87	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With McC	30	30	$68,888.43	$18,599.88 73% off	$35,617.46	$85,174.83	$51,197.68	2026-05-08
SUP-1000323	OTHER	Cath Impella Smartasist Rp Flx	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
SUP-0048-0003	OTHER	Cath Impella Cp 14f 4.7x65mm	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
SUP-4000021	OTHER	Cath Impella Cp 14fr	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
SUP-0046-0035	OTHER	Cath Impella Rp Smrt Asst Pmp	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
SUP-004334	OTHER	Kit Impella Rp With Controller	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
SUP-005062	OTHER	Cath Impella 5.0 Aic	37	35	$68,750.00	$18,562.50 73% off	$12,216.88	$68,750.00	$34,375.00	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	30	$68,210.12	$18,416.73 73% off	$33,088.06	$77,606.53	$47,656.06	2026-05-08
SUP-CI512-SYS	OTHER	Nucleus 5 System	33	31	$68,049.11	$18,373.26 73% off	$12,092.33	$60,563.71	$34,024.56	2026-05-08
SUP-2540002	OTHER	Tissue Strattice Matrix 25x40	31	29	$67,773.75	$18,298.91 73% off	$12,043.40	$60,318.64	$33,886.88	2026-05-08
SUP-0052-3002	OTHER	Kit Impella Intro 2.5 13fx13cm	37	35	$67,376.00	$18,191.52 73% off	$11,972.72	$67,376.00	$33,688.00	2026-05-08
SUP-1203035	OTHER	Mesh Phasix St 30cmx35cm Rect	31	29	$67,376.00	$18,191.52 73% off	$11,972.72	$59,964.64	$33,688.00	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	30	$66,940.91	$18,074.05 73% off	$36,817.50	$94,980.25	$56,569.04	2026-05-08
SUP-TDF033U SYSTEM	OTHER	Sys Icd Plat Df1 Crtd Is1 1711	31	29	$66,646.25	$17,994.49 73% off	$11,843.04	$59,315.16	$33,323.13	2026-05-08
SUP-DTBB1QQ-SYS	OTHER	System Icd Crt-d Df-4 Conn	31	29	$66,000.00	$17,820.00 73% off	$11,728.20	$58,740.00	$33,000.00	2026-05-08
RX-176120	OTHER	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln	78	41	$65,573.50	$17,704.85 73% off	$80.80	$65,544.50	$32,772.25	2026-05-08
SUP-NIPG2500	OTHER	Kit Senza Ii Omnia Ipg 2500	31	29	$64,626.00	$17,449.02 73% off	$11,484.04	$57,517.14	$32,313.00	2026-05-08
SUP-AMPLIAMRICRTDMMAM	OTHER	Sys Amplia MRI Crt-d	62	29	$64,365.12	$17,378.58 73% off	$11,263.47	$58,157.50	$32,672.75	2026-05-08
SUP-COMPIAMRIQDCRTMMQM	OTHER	Sys Compia Mr Quad Device	31	29	$64,209.75	$17,336.63 73% off	$11,410.07	$57,146.68	$32,104.88	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With McC	30	30	$63,952.29	$17,267.12 73% off	$24,703.97	$57,942.03	$36,651.70	2026-05-08
27800291	OTHER	Hc Icd, Promote Plus Crt-d	31	29	$63,800.00	$17,226.00 73% off	$11,337.26	$56,782.00	$31,900.00	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With McC	30	30	$63,155.27	$17,051.92 73% off	$30,765.02	$72,157.96	$44,310.24	2026-05-08
SUP-CLARIAMRIQDCRTMMQM	OTHER	Sys Crt Claria MRI Quad Df1	62	29	$62,324.62	$16,827.65 73% off	$9,947.47	$61,116.52	$34,335.13	2026-05-08
252	OTHER	Other Vascular Procedures With McC	30	30	$61,508.27	$16,607.23 73% off	$23,979.67	$56,243.23	$35,577.11	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With McC	30	30	$61,457.16	$16,593.43 73% off	$32,295.12	$75,746.74	$45,603.34	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	30	30	$59,466.37	$16,055.92 73% off	$24,143.41	$56,627.26	$35,749.93	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With McC	30	30	$58,452.04	$15,782.05 73% off	$22,885.72	$53,677.42	$33,954.09	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With McC	30	30	$57,738.11	$15,589.29 73% off	$26,620.59	$74,264.27	$44,230.86	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	27	27	$55,223.53	$14,910.35 73% off	$5,850.24	$83,545.39	$47,146.15	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With McC	30	30	$47,187.11	$12,740.52 73% off	$18,018.09	$52,617.55	$32,311.01	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC	30	30	$46,025.30	$12,426.83 73% off	$24,754.02	$58,059.42	$34,579.45	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With McC	30	30	$43,985.96	$11,876.21 73% off	$22,345.18	$52,409.60	$33,070.79	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With McC	30	30	$43,440.91	$11,729.05 73% off	$23,714.77	$59,952.75	$35,707.10	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC	30	30	$42,810.79	$11,558.91 73% off	$23,545.93	$60,990.81	$36,325.36	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	30	30	$41,987.06	$11,336.51 73% off	$23,092.88	$54,770.82	$33,152.07	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	30	30	$40,796.81	$11,015.14 73% off	$22,438.25	$57,490.91	$34,240.86	2026-05-08
791	OTHER	Prematurity With Major Problems	27	27	$32,215.50	$8,698.18 73% off	$2,537.45	$57,056.37	$32,407.36	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	27	27	$13,270.25	$3,582.97 73% off	$7,298.64	$58,610.29	$33,271.98	2026-05-08
583-4	OTHER	Neonate With Ecmo	2	2	—	—	$327,626.80	$327,626.80	$327,626.80	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$268,742.77	$268,742.77	$268,742.77	2026-05-08
583-3	OTHER	Neonate With Ecmo	2	2	—	—	$259,486.85	$259,486.85	$259,486.85	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$195,063.44	$195,063.44	$195,063.44	2026-05-08
583-2	OTHER	Neonate With Ecmo	2	2	—	—	$191,346.89	$191,346.89	$191,346.89	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$175,271.74	$175,271.74	$175,271.74	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$173,134.48	$173,134.48	$173,134.48	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$169,531.65	$169,531.65	$169,531.65	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$169,253.71	$169,253.71	$169,253.71	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$168,174.25	$168,174.25	$168,174.25	2026-05-08
583-1	OTHER	Neonate With Ecmo	2	2	—	—	$165,358.21	$165,358.21	$165,358.21	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$161,453.84	$161,453.84	$161,453.84	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	2	2	—	—	$160,593.79	$160,593.79	$160,593.79	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$140,888.59	$140,888.59	$140,888.59	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$125,634.78	$125,634.78	$125,634.78	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	2	2	—	—	$123,031.66	$123,031.66	$123,031.66	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$113,251.39	$113,251.39	$113,251.39	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$112,711.39	$112,711.39	$112,711.39	2026-05-08
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$111,592.78	$111,592.78	$111,592.78	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	2	2	—	—	$105,647.44	$105,647.44	$105,647.44	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$100,636.02	$100,636.02	$100,636.02	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$99,157.23	$99,157.23	$99,157.23	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$99,066.83	$99,066.83	$99,066.83	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	2	2	—	—	$98,783.50	$98,783.50	$98,783.50	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	2	2	—	—	$98,525.65	$98,525.65	$98,525.65	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$96,498.59	$96,498.59	$96,498.59	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$94,250.41	$94,250.41	$94,250.41	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	2	2	—	—	$93,844.33	$93,844.33	$93,844.33	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$89,333.98	$89,333.98	$89,333.98	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$83,784.94	$83,784.94	$83,784.94	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$75,590.50	$75,590.50	$75,590.50	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$75,071.12	$75,071.12	$75,071.12	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$73,331.41	$73,331.41	$73,331.41	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	2	—	—	$72,663.26	$72,663.26	$72,663.26	2026-05-08
863-4	OTHER	Neonatal Aftercare	2	2	—	—	$71,891.87	$71,891.87	$71,891.87	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$70,123.64	$70,123.64	$70,123.64	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$68,867.98	$68,867.98	$68,867.98	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	2	—	—	$68,799.13	$68,799.13	$68,799.13	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$68,560.56	$68,560.56	$68,560.56	2026-05-08
759-4	OTHER	Eating Disorders	2	2	—	—	$67,993.61	$67,993.61	$67,993.61	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$67,954.36	$67,954.36	$67,954.36	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$66,321.18	$66,321.18	$66,321.18	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$64,045.67	$64,045.67	$64,045.67	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$62,002.64	$62,002.64	$62,002.64	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$61,230.01	$61,230.01	$61,230.01	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$61,099.22	$61,099.22	$61,099.22	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$59,798.47	$59,798.47	$59,798.47	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$58,189.70	$58,189.70	$58,189.70	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$58,129.33	$58,129.33	$58,129.33	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	2	—	—	$57,529.76	$57,529.76	$57,529.76	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	2	2	—	—	$57,233.90	$57,233.90	$57,233.90	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	2	—	—	$55,288.12	$55,288.12	$55,288.12	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$54,499.12	$54,499.12	$54,499.12	2026-05-08
178-4	OTHER	External Heart Assist Systems	2	2	—	—	$54,135.54	$54,135.54	$54,135.54	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$52,763.51	$52,763.51	$52,763.51	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$52,506.25	$52,506.25	$52,506.25	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	2	2	—	—	$52,288.74	$52,288.74	$52,288.74	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	2	2	—	—	$52,002.27	$52,002.27	$52,002.27	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$49,838.33	$49,838.33	$49,838.33	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$49,315.72	$49,315.72	$49,315.72	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	2	—	—	$49,022.12	$49,022.12	$49,022.12	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$48,838.14	$48,838.14	$48,838.14	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$47,763.65	$47,763.65	$47,763.65	2026-05-08
752-4	OTHER	Disorders Of Personality And Impulse Control	2	2	—	—	$47,649.71	$47,649.71	$47,649.71	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$47,347.52	$47,347.52	$47,347.52	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	—	—	$46,996.52	$46,996.52	$46,996.52	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$46,360.73	$46,360.73	$46,360.73	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$46,195.76	$46,195.76	$46,195.76	2026-05-08
863-3	OTHER	Neonatal Aftercare	2	2	—	—	$46,127.77	$46,127.77	$46,127.77	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	2	2	—	—	$45,409.63	$45,409.63	$45,409.63	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$45,408.49	$45,408.49	$45,408.49	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	—	—	$44,924.65	$44,924.65	$44,924.65	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	2	—	—	$44,863.20	$44,863.20	$44,863.20	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	2	2	—	—	$44,380.87	$44,380.87	$44,380.87	2026-05-08
179-4	OTHER	Defibrillator Implants	2	2	—	—	$44,105.36	$44,105.36	$44,105.36	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$43,922.74	$43,922.74	$43,922.74	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$43,866.14	$43,866.14	$43,866.14	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$43,588.48	$43,588.48	$43,588.48	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$42,956.78	$42,956.78	$42,956.78	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	2	—	—	$42,414.35	$42,414.35	$42,414.35	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	2	2	—	—	$42,047.59	$42,047.59	$42,047.59	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	2	—	—	$41,928.25	$41,928.25	$41,928.25	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	2	2	—	—	$41,745.67	$41,745.67	$41,745.67	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	2	2	—	—	$41,673.74	$41,673.74	$41,673.74	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$41,561.96	$41,561.96	$41,561.96	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	2	2	—	—	$41,527.08	$41,527.08	$41,527.08	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	2	—	—	$40,736.95	$40,736.95	$40,736.95	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	2	2	—	—	$40,075.67	$40,075.67	$40,075.67	2026-05-08
178-3	OTHER	External Heart Assist Systems	2	2	—	—	$40,049.05	$40,049.05	$40,049.05	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	2	2	—	—	$39,885.91	$39,885.91	$39,885.91	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$39,797.14	$39,797.14	$39,797.14	2026-05-08
023-4	OTHER	Spinal Procedures	2	2	—	—	$39,784.23	$39,784.23	$39,784.23	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	2	2	—	—	$39,238.88	$39,238.88	$39,238.88	2026-05-08
441-4	OTHER	Major Bladder Procedures	2	2	—	—	$39,231.65	$39,231.65	$39,231.65	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	2	2	—	—	$38,739.65	$38,739.65	$38,739.65	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	2	2	—	—	$38,391.52	$38,391.52	$38,391.52	2026-05-08
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$38,190.37	$38,190.37	$38,190.37	2026-05-08
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$38,026.21	$38,026.21	$38,026.21	2026-05-08
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$37,807.24	$37,807.24	$37,807.24	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$37,453.32	$37,453.32	$37,453.32	2026-05-08
178-2	OTHER	External Heart Assist Systems	2	2	—	—	$37,313.14	$37,313.14	$37,313.14	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$37,167.12	$37,167.12	$37,167.12	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	2	2	—	—	$36,915.32	$36,915.32	$36,915.32	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$36,808.56	$36,808.56	$36,808.56	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$36,551.68	$36,551.68	$36,551.68	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$36,478.35	$36,478.35	$36,478.35	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$36,281.36	$36,281.36	$36,281.36	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	2	2	—	—	$36,200.68	$36,200.68	$36,200.68	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	2	2	—	—	$36,033.82	$36,033.82	$36,033.82	2026-05-08
690-4	OTHER	Acute Leukemia	2	2	—	—	$35,850.55	$35,850.55	$35,850.55	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$35,748.38	$35,748.38	$35,748.38	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	2	—	—	$35,352.94	$35,352.94	$35,352.94	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	2	2	—	—	$34,765.74	$34,765.74	$34,765.74	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$34,765.74	$34,765.74	$34,765.74	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$34,670.70	$34,670.70	$34,670.70	2026-05-08
027-4	OTHER	Other Open Craniotomy	2	2	—	—	$34,586.68	$34,586.68	$34,586.68	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	2	2	—	—	$34,365.28	$34,365.28	$34,365.28	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$34,195.45	$34,195.45	$34,195.45	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	2	2	—	—	$34,153.81	$34,153.81	$34,153.81	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	2	2	—	—	$34,051.10	$34,051.10	$34,051.10	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$33,827.17	$33,827.17	$33,827.17	2026-05-08
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	2	—	—	$33,769.98	$33,769.98	$33,769.98	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	2	2	—	—	$33,740.77	$33,740.77	$33,740.77	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$33,683.31	$33,683.31	$33,683.31	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	2	2	—	—	$33,312.38	$33,312.38	$33,312.38	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	2	2	—	—	$33,299.86	$33,299.86	$33,299.86	2026-05-08
178-1	OTHER	External Heart Assist Systems	2	2	—	—	$33,280.15	$33,280.15	$33,280.15	2026-05-08
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	2	2	—	—	$33,177.01	$33,177.01	$33,177.01	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	2	2	—	—	$33,119.98	$33,119.98	$33,119.98	2026-05-08
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	2	2	—	—	$32,863.10	$32,863.10	$32,863.10	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	2	—	—	$32,851.49	$32,851.49	$32,851.49	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	2	2	—	—	$32,692.46	$32,692.46	$32,692.46	2026-05-08
401-4	OTHER	Adrenal Procedures	2	2	—	—	$32,624.37	$32,624.37	$32,624.37	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$32,451.08	$32,451.08	$32,451.08	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	2	2	—	—	$32,418.63	$32,418.63	$32,418.63	2026-05-08
179-3	OTHER	Defibrillator Implants	2	2	—	—	$32,159.38	$32,159.38	$32,159.38	2026-05-08
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	2	2	—	—	$32,060.45	$32,060.45	$32,060.45	2026-05-08
750-4	OTHER	Schizophrenia	2	2	—	—	$31,907.68	$31,907.68	$31,907.68	2026-05-08

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